Individual
MRS. GRACE ANN MELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
555 SUN VALLEY DR, BUILDING D, ROSWELL, GA 30076-5612
(678) 990-5401
Mailing address
2353 WALNUT TREE LN, BUFORD, GA 30519-2253
(205) 382-5025
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1-109860
AL
363L00000X
Nurse Practitioner
Primary
RN213069
GA
Other
Enumeration date
05/24/2011
Last updated
01/01/2013
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